J Public Health Policy. 2012 May;33(2):139-47. doi: 10.1057/jphp.2011.61. Epub 2012 Jan 26.
This commentary argues that there are three major crises confronting global health: ongoing financial crises; deepening ecological crises; and rapidly escalating income and wealth inequalities within and between nations. Global rhetorical responses to these crises frequently invoke policy sentiments similar to those advised by the 2008 WHO Commission on Social Determinants of Health (CSDH). However, actual policy decisions run counter to the evidence reviewed by the Commission, and its final report recommendations. Failure to re-regulate financial capitalism, introduce regulatory standards for transnational companies, or subordinate trade and investment liberalization treaties to development goals and human rights treaties will exacerbate global health inequities into the future. More positively, there is increasing support for systems of global taxation. The challenge for global health, however, will remain the willingness of states to make domestic and foreign policy choices that strengthen income redistribution, economic regulation, and citizen rights.
本评论认为，全球卫生面临三大危机：持续的金融危机；日益深化的生态危机；以及国家内部和国家之间收入和财富不平等的迅速加剧。全球对这些危机的政策回应经常援引与 2008 年世界卫生组织社会决定因素健康委员会（CSDH）所建议的类似的政策情绪。然而，实际政策决策与委员会审查的证据以及其最终报告建议背道而驰。不重新监管金融资本主义、不引入跨国公司监管标准、或不使贸易和投资自由化条约服从于发展目标和人权条约，将使未来的全球卫生不平等状况恶化。更积极的是，人们越来越支持全球税收制度。然而，全球卫生的挑战仍然是各国愿意在国内和外交政策选择中加强收入再分配、经济监管和公民权利。
